ESRA Academy. Bartakke A. Sep 8, 2016; 138267; 0090 Topic: ACUTE PAIN SERVICE (APS) - PAIN MANAGEMENT AT HOME
Dr. Ashish Anil Bartakke
Dr. Ashish Anil Bartakke

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Background and Aims:

Awake open day case shoulder surgery under interscalene catheter and supraclavicular nerve block has been performed at the Royal Victoria Infirmary since 2014, a unique technique in the UK performed in very few other public healthcare centres around the world.

Patients are assessed for suitability and consented for domiciliary nerve catheter in the pre-assessment clinic. Patients are discharged home on the same day following surgery with the catheter in situ, and followed up by a specialist hospital nurse. The catheter is removed on post-operative day 3.

To review the acceptance and satisfaction of this service, we conducted a survey of 25 consecutive patients undergoing day case shoulder surgery with domiciliary interscalene catheter.


Following the Trust Clinical Governance and Audit Department approval, we sent anonymised postal questionnaire to the above patients regarding their experience with the entire process and analysed the completed questionnaires. (Tables 1, 2)


96% patients agreed or strongly agreed that the pre-assessment, peri-operative and post-operative period in hospital including adequacy and usefulness of discharge information, as well as home visits by specialist nurse were a good experience. (Fig. 1)

The overall experience regarding the service for all the patients (100%) was good and they would recommend this service and experience to their friends and family members. 


The domiciliary nerve catheter service proved successful in terms of efficiency and savings resulting in popularity among hospital managers, and more so with the patients and the specialist nurse who found it satisfying for patients to be cared for in their homes.

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